Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Petagay Malonie Oldmixon

Individual provider Counselor · NPI 1770265704

Petagay Malonie Oldmixon is a Counselor in Inverness, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

110 S Apopka Ave
Inverness, FL 34452-4837
Phone: (352) 419-4856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X

Record details

NPI number1770265704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

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